| NPI | 1295167690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 66084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7068) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-03-17 |